Individual
DAVONIA S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1372 AVON LN APT 110, N LAUDERDALE, FL 33068-5965
(954) 830-7610
Mailing address
1372 AVON LN APT 110, N LAUDERDALE, FL 33068-5965
(954) 830-7610
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW486
FL
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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